Thorac Cardiovasc Surg 2009; 57(5): 313-314
DOI: 10.1055/s-2008-1038880
Case Reports

© Georg Thieme Verlag KG Stuttgart · New York

Pulmonary Embolism with Myomatous Erythrocytosis Syndrome and Extreme Obesity

S. Unosawa1 , M. Hata1 , A. Sezai1 , T. Niino1 , I. Yoshitake1 , K. Minami1
  • 1Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan
Further Information

Publication History

received March 20, 2008

Publication Date:
23 July 2009 (online)

Abstract

We here report a case of a 53-year-old woman requiring pulmonary embolectomy for acute massive pulmonary embolism caused by a huge uterine myoma compressing veins in the pelvis and extreme obesity. She was also diagnosed as having myomatous erythrocytosis syndrome, a rare disease associated with secondary polycythemia. The polycythemia improved after a hysterectomy which was performed after pulmonary embolectomy.

References

  • 1 Goldhaber S Z, Grodstein F, Stampfer M J. et al . A prospective study of risk factors for pulmonary embolism in women.  JAMA. 1997;  277 642-645
  • 2 Fleming A R, Markley J C. Polycythemia associated with uterine myomas.  Am J Obstet Gynecol. 1957;  74 677-679
  • 3 LevGur M, Levie M D. The myomatous erythrocytosis syndrome: a review.  Obstet Gynecol. 1995;  86 1026-1030
  • 4 Yokoyama Y, Shinohara A, Hirokawa M, Maeda N. Erythrocytosis due to an erythropoietin-producing large uterine leiomyoma.  Gynecol Obstet Invest. 2003;  56 179-183
  • 5 Biswas M, Prakash P K, Cossburn M, Myers K, Hanna F. Life-threatening thrombotic complications of relative polycythaemia.  J Intern Med. 2003;  253 481-483

Dr. Satoshi Unosawa

Nihon University School of Medicine
Cardiovascular Surgery

30–1, Ooyaguchi-kami-machi, Itabashi-ku

173–8610 Tokyo

Japan

Email: sunosaw@med.nihon-u.ac.jp

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